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General NPI Number Information
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NPI Number | 1609265099
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Entity Type | Individual
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Provider Name | MICHELE A GIRARD LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 2521 RAEFORD RD STE D
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5750
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Country | US
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Telephone | 910-663-1459
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Fax | 910-920-9644
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Provider Business Mailing Address
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Address Line | 2521 RAEFORD RD STE D
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5750
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Country | US
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Telephone | 347-357-1009
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 089429-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW13887
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C010617
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License Number State | NC
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